Buckeye Community Health Plan
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Buckeye Community Health Plan Employees
Employee
Years
Job
Industry
Andrew Haug Andrew Haug's Buckeye Community Health Plan Experience December 2014 - Present
Job Field Based RN Case Manager
Industry Health, Wellness and Fitness
Experience
Buckeye Community Health Plan December 2014 - Present
Buckeye Community Health Plan January 2015 - September 2015
Horizon home healthcare August 2013 - August 2014
Ralph Lauren 2011 - July 2014
Skills
Nursing assessments, IV care, Interpersonal Skills, Merchandising, Apparel, Retail, Fashion, Microsoft Office, Visual Merchandising, Marketing, Social Media, Microsoft Word, Customer Service, Communcation
Education
Hondros College 2010 — 2012
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Miami University 2001 — 2006
Associate of Science (A.S.), Computer Science
Buckeye Community Health Plan December 2014 - Present
Buckeye Community Health Plan January 2015 - September 2015
Horizon home healthcare August 2013 - August 2014
Ralph Lauren 2011 - July 2014
Skills
Nursing assessments, IV care, Interpersonal Skills, Merchandising, Apparel, Retail, Fashion, Microsoft Office, Visual Merchandising, Marketing, Social Media, Microsoft Word, Customer Service, Communcation
Education
Hondros College 2010 — 2012
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Miami University 2001 — 2006
Associate of Science (A.S.), Computer Science
Michael Ceballos Michael Ceballos's Buckeye Community Health Plan Experience August 2013 - May 2015
Job Senior Vice President, Strategic Development at Integra ServiceConnect®
Industry Hospital & Health Care
Experience
Integra ServiceConnect® June 2015 - Present
Columbus Early Learning Centers February 2015 - Present
Buckeye Community Health Plan August 2013 - May 2015
UnitedHealthcare Community and State May 2011 - July 2013
Cedar Riverside People's Center August 2009 - July 2013
UnitedHealth Group December 2008 - May 2011
El Colegio Charter School August 2007 - December 2009
UnitedHealth Group August 2007 - December 2008
University of Chicago Graduate School of Business 2006 - 2007
Brunswick Corporation June 2006 - August 2006
Skills
Strategic Planning, Management Consulting, Cross-functional Team..., Business Strategy, Process Improvement, Program Management, Change Management, Budgets, Business Development, Strategy, Product Development, Product Management, Innovation Development, Policy, Building Relationships, Medicare, Risk Management, Healthcare
Education
The University of Chicago Booth School of Business 2005 — 2007
MBA, Strategy, Marketing and Entrepreneurship
Stanford University 2000 — 2001
MS, Civil and Environmental Engineering
Stanford University 1996 — 2000
BS, Civil Engineering
Integra ServiceConnect® June 2015 - Present
Columbus Early Learning Centers February 2015 - Present
Buckeye Community Health Plan August 2013 - May 2015
UnitedHealthcare Community and State May 2011 - July 2013
Cedar Riverside People's Center August 2009 - July 2013
UnitedHealth Group December 2008 - May 2011
El Colegio Charter School August 2007 - December 2009
UnitedHealth Group August 2007 - December 2008
University of Chicago Graduate School of Business 2006 - 2007
Brunswick Corporation June 2006 - August 2006
Skills
Strategic Planning, Management Consulting, Cross-functional Team..., Business Strategy, Process Improvement, Program Management, Change Management, Budgets, Business Development, Strategy, Product Development, Product Management, Innovation Development, Policy, Building Relationships, Medicare, Risk Management, Healthcare
Education
The University of Chicago Booth School of Business 2005 — 2007
MBA, Strategy, Marketing and Entrepreneurship
Stanford University 2000 — 2001
MS, Civil and Environmental Engineering
Stanford University 1996 — 2000
BS, Civil Engineering
Patricia McCrady Patricia McCrady's Buckeye Community Health Plan Experience September 2013 - Present
Job Member Services Representative at Buckeye Community Health Plan
Industry Medical Devices
Experience
Buckeye Community Health Plan September 2013 - Present
Palmetto GBA March 2013 - September 2013
SIMOS Insourcing Solutions September 2012 - March 2013
Risch Home Health Care, Inc. April 2011 - July 2012
Anthem Wellpoint October 2009 - April 2011
MPW Industrial Services October 2007 - July 2009
Good Feet Store August 2003 - September 2007
Skills
Medical Billing, Accounts Receivable, Invoicing, HCPCS, Accounts Payable, ICD-9, Medical Terminology, Medicare, Outlook, Data Entry, Customer Service, Excel, Word, Spreadsheets, Microsoft Office, Documentation, Medical Coding, Medicaid, HIPAA, Customer Relations, PeopleSoft, Orthopedics, Inventory Management, Payroll, Billing, CPT, Healthcare, Account Reconciliation, Software Documentation, Employee Benefits, Training, Time Management, Organization, Microsoft Excel, Microsoft Word
Education
Avon High School
Kent State University
Buckeye Community Health Plan September 2013 - Present
Palmetto GBA March 2013 - September 2013
SIMOS Insourcing Solutions September 2012 - March 2013
Risch Home Health Care, Inc. April 2011 - July 2012
Anthem Wellpoint October 2009 - April 2011
MPW Industrial Services October 2007 - July 2009
Good Feet Store August 2003 - September 2007
Skills
Medical Billing, Accounts Receivable, Invoicing, HCPCS, Accounts Payable, ICD-9, Medical Terminology, Medicare, Outlook, Data Entry, Customer Service, Excel, Word, Spreadsheets, Microsoft Office, Documentation, Medical Coding, Medicaid, HIPAA, Customer Relations, PeopleSoft, Orthopedics, Inventory Management, Payroll, Billing, CPT, Healthcare, Account Reconciliation, Software Documentation, Employee Benefits, Training, Time Management, Organization, Microsoft Excel, Microsoft Word
Education
Avon High School
Kent State University
Ke'Tina Black MSW, LSW Ke'Tina Black MSW, LSW's Buckeye Community Health Plan Experience June 2014 - Present
Job Buckeye Community Health Plan
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan June 2014 - Present
Genesis HealthCare December 2013 - July 2014
Good Samartian Hospital June 2010 - February 2014
South Community October 2008 - June 2010
Neurosurgery Inc February 2004 - October 2008
Skills
Case Managment, Mental Health, Community Outreach, Non-profits, Customer Service, Microsoft Office, PowerPoint, Microsoft Word, Group Therapy, Individual Counselling, Community Mental Health, Mental Health Treatment, Biopsychosocial..., Case Management Services, Child Development, Child Welfare, Crisis Intervention, Medical Social Work, Foster Care, Nonprofits, Program Development, Social Services, Psychosocial, Treatment, Case Management
Education
University of Cincinnati 2010 — 2012
Master of Social Work (MSW), Social Work
Wright State University 2006 — 2008
BSW, Social Work
Buckeye Community Health Plan June 2014 - Present
Genesis HealthCare December 2013 - July 2014
Good Samartian Hospital June 2010 - February 2014
South Community October 2008 - June 2010
Neurosurgery Inc February 2004 - October 2008
Skills
Case Managment, Mental Health, Community Outreach, Non-profits, Customer Service, Microsoft Office, PowerPoint, Microsoft Word, Group Therapy, Individual Counselling, Community Mental Health, Mental Health Treatment, Biopsychosocial..., Case Management Services, Child Development, Child Welfare, Crisis Intervention, Medical Social Work, Foster Care, Nonprofits, Program Development, Social Services, Psychosocial, Treatment, Case Management
Education
University of Cincinnati 2010 — 2012
Master of Social Work (MSW), Social Work
Wright State University 2006 — 2008
BSW, Social Work
Todd McCollough MS MCM Todd McCollough MS MCM's Buckeye Community Health Plan Experience November 2004 - September 2012
Job Director, Marketing, Centene Corporation
Industry Insurance
Experience
Centene Corporation July 2012 - Present
Buckeye Community Health Plan November 2004 - September 2012
Skills
Managed Care, Public Relations, Healthcare, Media Relations, Marketing Communications, Strategic Planning, Health Insurance, Medicare, Event Planning, Social Media, Nonprofits, Marketing, Public Speaking, Marketing Strategy, Project Management, Community Outreach, Healthcare Management, Healthcare Industry, Customer Service, Corporate Communications, Data Entry, Internal Communications, Advertising, Fundraising, Strategic Communications, Community Development, Leadership, Newsletters, Social Media Marketing, Copywriting, Integrated Marketing, Online Marketing, Event Management, Press Releases, Brand Development, Social Networking, Direct Marketing, Market Research, Brand Management, Crisis Communications, Creative Writing, Marketing Management, Medicaid, Creative Direction, Copy Editing, Account Management, Creative Strategy
Education
Franklin University 2009 — 2012
Master of Science (MS), Marketing Communication
West Liberty University 1984 — 1988
Bachelor of Science (BS), Communications
Centene Corporation July 2012 - Present
Buckeye Community Health Plan November 2004 - September 2012
Skills
Managed Care, Public Relations, Healthcare, Media Relations, Marketing Communications, Strategic Planning, Health Insurance, Medicare, Event Planning, Social Media, Nonprofits, Marketing, Public Speaking, Marketing Strategy, Project Management, Community Outreach, Healthcare Management, Healthcare Industry, Customer Service, Corporate Communications, Data Entry, Internal Communications, Advertising, Fundraising, Strategic Communications, Community Development, Leadership, Newsletters, Social Media Marketing, Copywriting, Integrated Marketing, Online Marketing, Event Management, Press Releases, Brand Development, Social Networking, Direct Marketing, Market Research, Brand Management, Crisis Communications, Creative Writing, Marketing Management, Medicaid, Creative Direction, Copy Editing, Account Management, Creative Strategy
Education
Franklin University 2009 — 2012
Master of Science (MS), Marketing Communication
West Liberty University 1984 — 1988
Bachelor of Science (BS), Communications
Jason Sowinski Jason Sowinski's Buckeye Community Health Plan Experience Member ServicesExpress ScriptsSeptember 2012 - May 2014
Job Provider Services at Buckeye Community Health Plan
Industry Insurance
Experience
Buckeye Community Health Plan Member ServicesExpress ScriptsSeptember 2012 - May 2014
Education
Coconut creek high 1997 — 2001
Columbus State Community College
Buckeye Community Health Plan Member ServicesExpress ScriptsSeptember 2012 - May 2014
Education
Coconut creek high 1997 — 2001
Columbus State Community College
Sarah Green BSW LSW CDCA Sarah Green BSW LSW CDCA's Buckeye Community Health Plan Experience April 2014 - Present
Job Program Specialist I at Buckeye Community Health Plan
Industry Individual & Family Services
Experience
Buckeye Community Health Plan April 2014 - Present
Buckeye Community Health Plan April 2013 - March 2014
Family and Community Services February 2012 - April 2013
Blick Clinic February 2012 - April 2013
Community Support Services. May 2011 - November 2011
Child Guidance and Family Solutions June 2010 - December 2010
Blick Clinic August 2009 - May 2010
Blick Clinic February 2007 - August 2009
Skills
Crisis Intervention, Medication..., Social Services, Case Managment, Mental Health, Non-profits, Adolescents, Behavioral Health, Community Outreach, Treatment, Developmental..., Motivational..., Child Welfare, First Aid, Adult CPR, Psychological Assessment, Family Therapy, Mental Health Counseling, Case Management, Therapists, Child Development, Nonprofits
Education
Cleveland State University 2008 — 2010
Bachelors, Social Work
The University of Akron 2003 — 2008
Criminal Justice/Family and Child Development
Buckeye Community Health Plan April 2014 - Present
Buckeye Community Health Plan April 2013 - March 2014
Family and Community Services February 2012 - April 2013
Blick Clinic February 2012 - April 2013
Community Support Services. May 2011 - November 2011
Child Guidance and Family Solutions June 2010 - December 2010
Blick Clinic August 2009 - May 2010
Blick Clinic February 2007 - August 2009
Skills
Crisis Intervention, Medication..., Social Services, Case Managment, Mental Health, Non-profits, Adolescents, Behavioral Health, Community Outreach, Treatment, Developmental..., Motivational..., Child Welfare, First Aid, Adult CPR, Psychological Assessment, Family Therapy, Mental Health Counseling, Case Management, Therapists, Child Development, Nonprofits
Education
Cleveland State University 2008 — 2010
Bachelors, Social Work
The University of Akron 2003 — 2008
Criminal Justice/Family and Child Development
Eboni Porter Eboni Porter's Buckeye Community Health Plan Experience January 2013 - Present
Job Provider Maintenance Administrator at Buckeye Community Health Plan
Industry Insurance
Experience
Buckeye Community Health Plan January 2013 - Present
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, PowerPoint, English, Windows, Research, Outlook, Photoshop, Public Speaking, HTML, Strategic Planning, Editing, Team Building, Project Management, Community Outreach, Event Planning, Nonprofits
Education
Otterbein College 2007 — 2011
Bachelor of Arts (BA), Psychology
Bishop Hartley High School 2003 — 2007
High School Diploma
Buckeye Community Health Plan January 2013 - Present
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, PowerPoint, English, Windows, Research, Outlook, Photoshop, Public Speaking, HTML, Strategic Planning, Editing, Team Building, Project Management, Community Outreach, Event Planning, Nonprofits
Education
Otterbein College 2007 — 2011
Bachelor of Arts (BA), Psychology
Bishop Hartley High School 2003 — 2007
High School Diploma
Rhonda Locklear-Lewis Rhonda Locklear-Lewis's Buckeye Community Health Plan Experience March 2008 - March 2009
Job Executive Assistant to Ted Howard at The Democracy Collaborative
Industry Health, Wellness and Fitness
Experience
The Democracy Collaborative 2011 - Present
Lorain County Urban League November 2009 - August 2011
Buckeye Community Health Plan March 2008 - March 2009
Oberlin College June 1993 - January 2008
Skills
Coaching, Public Speaking, Non-profits, Grant Writing, Policy, Nonprofits, Event Planning, Time Management, Management, Teaching, Research, Strategic Planning, Fundraising, Mental Health, Community Outreach, Microsoft Excel, Customer Service, Training, Treatment, Psychotherapy, Lifestyle, Program Development, Editing, Microsoft Office
Education
University of Phoenix 2009 — 2012
Health Care Administration
Oberlin High School
The Democracy Collaborative 2011 - Present
Lorain County Urban League November 2009 - August 2011
Buckeye Community Health Plan March 2008 - March 2009
Oberlin College June 1993 - January 2008
Skills
Coaching, Public Speaking, Non-profits, Grant Writing, Policy, Nonprofits, Event Planning, Time Management, Management, Teaching, Research, Strategic Planning, Fundraising, Mental Health, Community Outreach, Microsoft Excel, Customer Service, Training, Treatment, Psychotherapy, Lifestyle, Program Development, Editing, Microsoft Office
Education
University of Phoenix 2009 — 2012
Health Care Administration
Oberlin High School
Kevin Byrnes's Buckeye Community Health Plan Experience June 2011 - Present
Job Consultant at Buckeye Community Health Plan
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan June 2011 - Present
SW General Health Center February 2007 - September 2011
DiaTri/Midwest Diagnostic Management July 2004 - February 2007
Regional Diagnostic Imaging August 2000 - July 2004
The Chandler Group of Companies 1997 - 2000
Education
Florida State University 1989 — 1993
BS, Education
Buckeye Community Health Plan June 2011 - Present
SW General Health Center February 2007 - September 2011
DiaTri/Midwest Diagnostic Management July 2004 - February 2007
Regional Diagnostic Imaging August 2000 - July 2004
The Chandler Group of Companies 1997 - 2000
Education
Florida State University 1989 — 1993
BS, Education
Nicole (Nicole Bennett) Melton Nicole (Nicole Bennett) Melton's Buckeye Community Health Plan Experience October 2012 - August 2013
Job Versatile marketing project manager with strong problemsolving, organizational skills
Industry Marketing and Advertising
Experience
Involve August 2013 - Present
Buckeye Community Health Plan October 2012 - August 2013
ProMedica Health System April 2009 - October 2012
ProMedica Health System December 2008 - April 2009
Crosby~Volmer International Communications October 2008 - December 2008
CityScene Media Group March 2008 - June 2008
WOSU Public Media January 2008 - March 2008
Columbus Literacy Council March 2007 - June 2007
Skills
Crisis Communications, Editing, Project Management, Proofreading, Public Relations, Marketing Strategy, Corporate Communications, Community Outreach, Strategic Communications, Direct Marketing, Social Media Marketing, Advertising Management, Event Planning, Event Management, Creative Direction, Newsletters, Media Relations, Advertising
Education
The Ohio State University 2004 — 2008
BA, Communications
Sylvania Northview High School 2000 — 2004
High School Diploma
Involve August 2013 - Present
Buckeye Community Health Plan October 2012 - August 2013
ProMedica Health System April 2009 - October 2012
ProMedica Health System December 2008 - April 2009
Crosby~Volmer International Communications October 2008 - December 2008
CityScene Media Group March 2008 - June 2008
WOSU Public Media January 2008 - March 2008
Columbus Literacy Council March 2007 - June 2007
Skills
Crisis Communications, Editing, Project Management, Proofreading, Public Relations, Marketing Strategy, Corporate Communications, Community Outreach, Strategic Communications, Direct Marketing, Social Media Marketing, Advertising Management, Event Planning, Event Management, Creative Direction, Newsletters, Media Relations, Advertising
Education
The Ohio State University 2004 — 2008
BA, Communications
Sylvania Northview High School 2000 — 2004
High School Diploma
Jaime Gomer's Buckeye Community Health Plan Experience September 2007 - March 2008
Job Supported Living Specialist at Friendship Supported Living
Industry Insurance
Experience
Friendship Supported Living May 2004 - Present
Executive Financial Solutions, Ltd June 2001 - Present
OhioHealth October 2008 - January 2009
Fiserv Health March 2008 - September 2008
Buckeye Community Health Plan September 2007 - March 2008
Nationwide Insurance March 2005 - March 2006
Palmetto GBA February 2003 - March 2005
Education
Columbus State Community College 2008 — 2011
In progress, Psychology
Grove City High School 1997 — 2001
Friendship Supported Living May 2004 - Present
Executive Financial Solutions, Ltd June 2001 - Present
OhioHealth October 2008 - January 2009
Fiserv Health March 2008 - September 2008
Buckeye Community Health Plan September 2007 - March 2008
Nationwide Insurance March 2005 - March 2006
Palmetto GBA February 2003 - March 2005
Education
Columbus State Community College 2008 — 2011
In progress, Psychology
Grove City High School 1997 — 2001
Meera Patel-Zook Meera Patel-Zook's Buckeye Community Health Plan Experience 2011 - November 2014
Job Director of Pharmacy at Buckeye Health Plan
Industry Health, Wellness and Fitness
Experience
Buckeye Health Plan November 2014 - Present
Buckeye Community Health Plan 2011 - November 2014
Medco Heath solutions December 2010 - October 2011
The Ohio State University Health Plan, Inc. June 2009 - July 2010
CVS Caremark July 2009 - January 2010
The Ohio State University June 2007 - June 2009
CVS Caremark Corporation April 2005 - June 2009
CIGNA September 2008 - October 2008
Skills
Pharmacy, Pharmacy Practice, Pharmacokinetics, Managed Care, Medicare Part D, Medicaid, Healthcare, Medication Therapy...
Education
The Ohio State University 2002 — 2009
PharmD, Pharmacy
Buckeye Health Plan November 2014 - Present
Buckeye Community Health Plan 2011 - November 2014
Medco Heath solutions December 2010 - October 2011
The Ohio State University Health Plan, Inc. June 2009 - July 2010
CVS Caremark July 2009 - January 2010
The Ohio State University June 2007 - June 2009
CVS Caremark Corporation April 2005 - June 2009
CIGNA September 2008 - October 2008
Skills
Pharmacy, Pharmacy Practice, Pharmacokinetics, Managed Care, Medicare Part D, Medicaid, Healthcare, Medication Therapy...
Education
The Ohio State University 2002 — 2009
PharmD, Pharmacy
Francesse Delva Francesse Delva's Buckeye Community Health Plan Experience June 2013 - September 2014
Job at
Industry Research
Experience
Aetna September 2014 - Present
Buckeye Community Health Plan June 2013 - September 2014
Quantum Health April 2012 - March 2013
HMS June 2011 - April 2012
Skills
Data Analysis, Healthcare, SQL, Data Warehousing, Business Analysis, Healthcare Management, Research, Healthcare Information..., Microsoft SQL Server, Microsoft Office, Health Policy, Project Management, Microsoft Excel, Public Health, Program Management, Program Development, Clinical Research
Education
New York Medical College 2009 — 2011
Master of Public Health (MPH), Epidemiology, 3.6
College of New Rochelle 2000 — 2004
Bachelor of Arts (BA), Psychology, 3.0
Aetna September 2014 - Present
Buckeye Community Health Plan June 2013 - September 2014
Quantum Health April 2012 - March 2013
HMS June 2011 - April 2012
Skills
Data Analysis, Healthcare, SQL, Data Warehousing, Business Analysis, Healthcare Management, Research, Healthcare Information..., Microsoft SQL Server, Microsoft Office, Health Policy, Project Management, Microsoft Excel, Public Health, Program Management, Program Development, Clinical Research
Education
New York Medical College 2009 — 2011
Master of Public Health (MPH), Epidemiology, 3.6
College of New Rochelle 2000 — 2004
Bachelor of Arts (BA), Psychology, 3.0
Barbara Fox, RN, BSN, CLCP Barbara Fox, RN, BSN, CLCP's Buckeye Community Health Plan Experience 2007 - 2008
Job Healthcare Consultant at FluidEdge Consulting
Industry Computer Software
Experience
FluidEdge Consulting June 2013 - Present
Casenet, LLC February 2013 - June 2013
Click4Care August 2008 - February 2013
Healthways 2008 - 2008
Buckeye Community Health Plan 2007 - 2008
Sedgwick CMS 2004 - 2007
Skills
Healthcare Management, Enterprise Software, Analytics, Automation, NCQA, Cms, HIPAA, Workers Compensation, Healthcare Information..., Workflow, Medicare, Medicaid, Commercial Insurance, Business Strategy, Strategic Planning, Healthcare, Managed Care, Integration, Informatics, EMR, Sales Management
Education
Capital University 1990 — 1995
BSN, Nursing
FluidEdge Consulting June 2013 - Present
Casenet, LLC February 2013 - June 2013
Click4Care August 2008 - February 2013
Healthways 2008 - 2008
Buckeye Community Health Plan 2007 - 2008
Sedgwick CMS 2004 - 2007
Skills
Healthcare Management, Enterprise Software, Analytics, Automation, NCQA, Cms, HIPAA, Workers Compensation, Healthcare Information..., Workflow, Medicare, Medicaid, Commercial Insurance, Business Strategy, Strategic Planning, Healthcare, Managed Care, Integration, Informatics, EMR, Sales Management
Education
Capital University 1990 — 1995
BSN, Nursing
Brad Lucas Brad Lucas's Buckeye Community Health Plan Experience March 2013 - Present
Job Chief Medical Officer at Buckeye Community Health Plan
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan March 2013 - Present
Centene June 2005 - Present
Centene January 2008 - December 2008
University Hospitals of Cleveland February 2000 - June 2007
Johns Hopkins Hospital 1991 - 1995
Skills
Healthcare, Healthcare Management, Hospitals, Medicaid, Disease Management, Managed Care, Reimbursement..., ACO development and..., Utilization Management, Quality Management
Education
Baldwin Wallace University 2003 — 2005
MBA, Health Care Administration
The Johns Hopkins University School of Medicine 1991 — 1995
OB/GYN residency
Medical College of Ohio 1987 — 1991
MD
Miami University 1983 — 1987
BS, Chemistry
University of Richmond 1983 — 1984
Buckeye Community Health Plan March 2013 - Present
Centene June 2005 - Present
Centene January 2008 - December 2008
University Hospitals of Cleveland February 2000 - June 2007
Johns Hopkins Hospital 1991 - 1995
Skills
Healthcare, Healthcare Management, Hospitals, Medicaid, Disease Management, Managed Care, Reimbursement..., ACO development and..., Utilization Management, Quality Management
Education
Baldwin Wallace University 2003 — 2005
MBA, Health Care Administration
The Johns Hopkins University School of Medicine 1991 — 1995
OB/GYN residency
Medical College of Ohio 1987 — 1991
MD
Miami University 1983 — 1987
BS, Chemistry
University of Richmond 1983 — 1984
Rebecca Meister, SPHR's Buckeye Community Health Plan Experience April 2007 - Present
Job Senior Director, Human Resources at Buckeye Community Health Plan
Industry Human Resources
Experience
Buckeye Community Health Plan April 2007 - Present
ADD of Ohio 2010 - December 2013
ViaQuest, Inc July 1997 - March 2007
The Longaberger Company July 1994 - November 1996
Safelite AutoGlass February 1990 - July 1994
Nationwise Automotive 1984 - 1990
Education
The Ohio State University 1973 — 1977
Buckeye Community Health Plan April 2007 - Present
ADD of Ohio 2010 - December 2013
ViaQuest, Inc July 1997 - March 2007
The Longaberger Company July 1994 - November 1996
Safelite AutoGlass February 1990 - July 1994
Nationwise Automotive 1984 - 1990
Education
The Ohio State University 1973 — 1977
Mary Jo Clark's Buckeye Community Health Plan Experience May 2014 - Present
Job at
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan May 2014 - Present
Buckeye Community Health Plan February 2011 - Present
Buckeye Community Health Plan October 2009 - February 2011
Green River Community College June 2008 - June 2010
WellCare Health Plans May 2008 - May 2009
ProMedica Health System 2004 - March 2008
CorVel Corporation July 2001 - June 2003
Aetna 1995 - 2001
St. Vincents Medical Center 1985 - 1993
Skills
Healthcare, Contract Negotiation, Customer Service, Managed Care, Medicaid, Process Improvement, Medicare, Health Insurance, Policy, Employee Benefits, Provider Relations, Healthcare Management, Team Leadership, Utilization Management, Management, HMO
Education
University of Toledo 2006 — 2007
MBA, Business
The University of Findlay 1999 — 2001
BSBM, Business Management
Buckeye Community Health Plan May 2014 - Present
Buckeye Community Health Plan February 2011 - Present
Buckeye Community Health Plan October 2009 - February 2011
Green River Community College June 2008 - June 2010
WellCare Health Plans May 2008 - May 2009
ProMedica Health System 2004 - March 2008
CorVel Corporation July 2001 - June 2003
Aetna 1995 - 2001
St. Vincents Medical Center 1985 - 1993
Skills
Healthcare, Contract Negotiation, Customer Service, Managed Care, Medicaid, Process Improvement, Medicare, Health Insurance, Policy, Employee Benefits, Provider Relations, Healthcare Management, Team Leadership, Utilization Management, Management, HMO
Education
University of Toledo 2006 — 2007
MBA, Business
The University of Findlay 1999 — 2001
BSBM, Business Management
Nick Malobabic's Buckeye Community Health Plan Experience November 2009 - November 2012
Job Corporate Associate Vice President National Contracting / New Markets, Molina HealthCare Inc.
Industry Insurance
Experience
Molina HealthCare, Inc. November 2012 - June 2015
Buckeye Community Health Plan November 2009 - November 2012
Amerigroup Corporation 2008 - August 2010
Case Western Reserve University 2005 - 2008
Vantage Health Plan, Inc. 2000 - 2003
Skills
Healthcare, Medicare, Healthcare Consulting, Medicaid, Revenue Cycle, Healthcare Management, Provider Relations, Project Management, Healthcare Industry, HIPAA, Hospitals, Health Insurance, Managed Care, Healthcare Information..., Home Care, Disease Management, Physicians, Health Policy, Network Development, Quality Improvement, EMR, Physician Relations, HMO, Credentialing, PPO, Utilization Management, Practice Management, Informatics, Medical Billing, EHR, Nursing, Epic Systems, Provider Network..., Medicaid Managed Care, Pharmacy Benefit..., Case Managment, Case Management, Revenue Cycle Management, NCQA, Patient Safety, Inpatient, Medical Terminology, Ambulatory, Pharmacy, Public Health, Executive Management, Contract Management, Contract Negotiation
Education
The Ohio State University
B.S.
Molina HealthCare, Inc. November 2012 - June 2015
Buckeye Community Health Plan November 2009 - November 2012
Amerigroup Corporation 2008 - August 2010
Case Western Reserve University 2005 - 2008
Vantage Health Plan, Inc. 2000 - 2003
Skills
Healthcare, Medicare, Healthcare Consulting, Medicaid, Revenue Cycle, Healthcare Management, Provider Relations, Project Management, Healthcare Industry, HIPAA, Hospitals, Health Insurance, Managed Care, Healthcare Information..., Home Care, Disease Management, Physicians, Health Policy, Network Development, Quality Improvement, EMR, Physician Relations, HMO, Credentialing, PPO, Utilization Management, Practice Management, Informatics, Medical Billing, EHR, Nursing, Epic Systems, Provider Network..., Medicaid Managed Care, Pharmacy Benefit..., Case Managment, Case Management, Revenue Cycle Management, NCQA, Patient Safety, Inpatient, Medical Terminology, Ambulatory, Pharmacy, Public Health, Executive Management, Contract Management, Contract Negotiation
Education
The Ohio State University
B.S.
Katy Adrian's Buckeye Community Health Plan Experience January 2007 - August 2008
Job Speech Language Pathologist at Elite Speech Therapy
Industry Hospital & Health Care
Experience
Elite Speech Therapy September 2010 - Present
Buckeye Community Health Plan January 2007 - August 2008
Skills
Speech Therapy, Language Disorders, Early Intervention, Dysphagia, Pediatrics
Education
Miami University 2008 — 2010
Master's of Science, Speech Language Pathology
Morehead State University 2000 — 2003
Elite Speech Therapy September 2010 - Present
Buckeye Community Health Plan January 2007 - August 2008
Skills
Speech Therapy, Language Disorders, Early Intervention, Dysphagia, Pediatrics
Education
Miami University 2008 — 2010
Master's of Science, Speech Language Pathology
Morehead State University 2000 — 2003
Sonya D. Allen's Buckeye Community Health Plan Experience November 2006 - July 2007
Job Security Analyst at Franklin County Department of Jobs and Family Services
Industry Information Technology and Services
Experience
Franklin County Department of Jobs and Family Services September 2011 - Present
Franklin County Dept Job/Family Services August 2008 - September 2011
IBM Global Services July 2007 - August 2008
Buckeye Community Health Plan November 2006 - July 2007
Verizon Wireless 2003 - 2004
Qwest Communications November 1993 - December 2000
Skills
Telecommunications, Graphics, Customer Service, Vendor Management, Call Center, Project Planning, Microsoft Office, Software Documentation, PeopleSoft, Call Centers, Troubleshooting, Team Building, Program Management, Process Improvement, Budgets, Public Speaking, Project Management, Access, Microsoft Word, Training, PowerPoint, Microsoft Excel, Visio, Government, Operations Management, Change Management, Strategic Planning, Leadership, Policy, Networking, System Administration, Marketing, Technical Support, Analysis, Data Analysis, SharePoint, Management, Security, Team Leadership, Outlook, Windows, Administration, Nonprofits
Education
Franklin University 2008 — 2013
Criminal Justice, Juvenile
Columbus State Community College 1985 — 1986
West High School 1981 — 1985
Franklin County Department of Jobs and Family Services September 2011 - Present
Franklin County Dept Job/Family Services August 2008 - September 2011
IBM Global Services July 2007 - August 2008
Buckeye Community Health Plan November 2006 - July 2007
Verizon Wireless 2003 - 2004
Qwest Communications November 1993 - December 2000
Skills
Telecommunications, Graphics, Customer Service, Vendor Management, Call Center, Project Planning, Microsoft Office, Software Documentation, PeopleSoft, Call Centers, Troubleshooting, Team Building, Program Management, Process Improvement, Budgets, Public Speaking, Project Management, Access, Microsoft Word, Training, PowerPoint, Microsoft Excel, Visio, Government, Operations Management, Change Management, Strategic Planning, Leadership, Policy, Networking, System Administration, Marketing, Technical Support, Analysis, Data Analysis, SharePoint, Management, Security, Team Leadership, Outlook, Windows, Administration, Nonprofits
Education
Franklin University 2008 — 2013
Criminal Justice, Juvenile
Columbus State Community College 1985 — 1986
West High School 1981 — 1985
Cheryl Hines's Buckeye Community Health Plan Experience April 2008 - May 2011
Job LPCCR
Industry Individual & Family Services
Experience
OhioGuidestone December 2014 - Present
Alvis House June 2013 - Present
Impact Academy Daycare May 2011 - June 2013
Buckeye Community Health Plan April 2008 - May 2011
PXPOHIO November 2005 - November 2007
Education
Ashland University 2012 — 2014
Masters Degree, Clinical Mental Health Counseling
Ohio Christian University 2010 — 2012
BS, Psychology
Hocking College 1995 — 1997
Associate of Applied Science, EMS Management
OhioGuidestone December 2014 - Present
Alvis House June 2013 - Present
Impact Academy Daycare May 2011 - June 2013
Buckeye Community Health Plan April 2008 - May 2011
PXPOHIO November 2005 - November 2007
Education
Ashland University 2012 — 2014
Masters Degree, Clinical Mental Health Counseling
Ohio Christian University 2010 — 2012
BS, Psychology
Hocking College 1995 — 1997
Associate of Applied Science, EMS Management
Shirley DiBiasio's Buckeye Community Health Plan Experience July 2009 - January 2013
Job Patient NavigatorMyCareInstitutional Care at CareSource Management Group
Industry Insurance
Experience
CareSource Management Group April 2014 - Present
Advantage By Buckeye Community Health Plan January 2013 - April 2014
Buckeye Community Health Plan July 2009 - January 2013
Life Line Screening of America June 2008 - April 2009
Life Line Screening December 2007 - June 2008
Rehab Services, Inc. September 1999 - December 2007
Skills
Microsoft Office Xp, Excel, Data Entry, Customer Service, Insurance, Health, Employee Relations, Microsoft Office, Word, Access, Coaching, Customer Relations, Call Center, Healthcare, Benefits Administration, Fundraising, Medicare, Management, Microsoft Excel, Human Resources, Leadership
Education
Polaris Career Center 2009 — 2009
Certificate, medical coding
Cuyahoga Community College 1972 — 1973
Office administration
CareSource Management Group April 2014 - Present
Advantage By Buckeye Community Health Plan January 2013 - April 2014
Buckeye Community Health Plan July 2009 - January 2013
Life Line Screening of America June 2008 - April 2009
Life Line Screening December 2007 - June 2008
Rehab Services, Inc. September 1999 - December 2007
Skills
Microsoft Office Xp, Excel, Data Entry, Customer Service, Insurance, Health, Employee Relations, Microsoft Office, Word, Access, Coaching, Customer Relations, Call Center, Healthcare, Benefits Administration, Fundraising, Medicare, Management, Microsoft Excel, Human Resources, Leadership
Education
Polaris Career Center 2009 — 2009
Certificate, medical coding
Cuyahoga Community College 1972 — 1973
Office administration
Monique Gladden's Buckeye Community Health Plan Experience February 2010 - 2014
Job Director of Care Management at Buckeye Health Plan
Industry Hospital & Health Care
Experience
Buckeye Health Plan October 2014 - Present
Buckeye Community Health Plan February 2010 - 2014
Centene Corporation February 2007 - 2010
University Hospital of Cincinnati, Ohio December 2004 - July 2008
Skills
Case Management, Utilization Management, Nursing, Medicaid, Disease Management, Healthcare Management, Healthcare, Home Care, Medicare, Hospitals, Managed Care, Inpatient
Education
University of Cincinnati 1999 — 2004
BSN, Nursing
Walnut Hills High School 1994 — 1999
Buckeye Health Plan October 2014 - Present
Buckeye Community Health Plan February 2010 - 2014
Centene Corporation February 2007 - 2010
University Hospital of Cincinnati, Ohio December 2004 - July 2008
Skills
Case Management, Utilization Management, Nursing, Medicaid, Disease Management, Healthcare Management, Healthcare, Home Care, Medicare, Hospitals, Managed Care, Inpatient
Education
University of Cincinnati 1999 — 2004
BSN, Nursing
Walnut Hills High School 1994 — 1999
Doug Patch's Buckeye Community Health Plan Experience April 2009 - April 2013
Job Operations Management
Industry Logistics and Supply Chain
Experience
Lasting Impressions Event Rental June 2013 - January 2015
Buckeye Community Health Plan April 2009 - April 2013
Pier I Imports October 2004 - February 2009
The Longaberger Company September 1999 - September 2004
PetsMart Distribution Center April 1999 - September 1999
The Limited Distribution Services September 1984 - April 1999
Skills
Distribution Center..., Purchasing, Customer Service, Budgets, Inventory Control, Inventory Management, Team Building
Education
Columbus State Community College 1984 — 1986
Business
Marshall University 1982 — 1984
Business
Lasting Impressions Event Rental June 2013 - January 2015
Buckeye Community Health Plan April 2009 - April 2013
Pier I Imports October 2004 - February 2009
The Longaberger Company September 1999 - September 2004
PetsMart Distribution Center April 1999 - September 1999
The Limited Distribution Services September 1984 - April 1999
Skills
Distribution Center..., Purchasing, Customer Service, Budgets, Inventory Control, Inventory Management, Team Building
Education
Columbus State Community College 1984 — 1986
Business
Marshall University 1982 — 1984
Business
Petria Clarke's Buckeye Community Health Plan Experience June 2006 - June 2008
Job Program Coordinator II at Buckeye Health Plan
Industry Hospital & Health Care
Experience
Buckeye Health Plan 2014 - Present
Centene Corporation June 2008 - Present
Buckeye Community Health Plan June 2006 - June 2008
ODJFS September 2003 - June 2006
Skills
Healthcare, Data Entry, Customer Service, Case Managment, Medicaid, Managed Care, Medicare, Case Management, Hospitals, Call Centers, Employee Benefits, Disease Management
Education
Central Ohio Technical College 2012 — 2015
Associate's Degree in progress, Registered Nurse
Buckeye Health Plan 2014 - Present
Centene Corporation June 2008 - Present
Buckeye Community Health Plan June 2006 - June 2008
ODJFS September 2003 - June 2006
Skills
Healthcare, Data Entry, Customer Service, Case Managment, Medicaid, Managed Care, Medicare, Case Management, Hospitals, Call Centers, Employee Benefits, Disease Management
Education
Central Ohio Technical College 2012 — 2015
Associate's Degree in progress, Registered Nurse
Renee Rainey's Buckeye Community Health Plan Experience June 2014 - Present
Job Buckeye Health Plan
Industry Real Estate
Experience
Buckeye Community Health Plan June 2014 - Present
Renee's Hairweaving Studio March 2013 - Present
RnR Investment Company,LLC 2008 - Present
Skills
Telecommunications, Customer Service, New Business Development, Account Management, Sales, Call Center, Sales Management, Cosmetologist, Negotiation, Strategic Planning, Training, Social Networking, Budgets, Call Centers, Customer Satisfaction, Entrepreneurship, Management, Marketing, Process Improvement, Real Estate, Small Business, Team Building, Vendor Management, Wireless, Rentals, Property Management, Investment Properties, Sellers, Relocation, Business Development, Insurance, Leases, Investors, Condos, Single Family Homes, Marketing Communications, Microsoft Excel, PowerPoint, Facebook, Social Media, Online Marketing, Coaching, Recruiting
Education
Franklin University 2008 — 2011
Associate, Bachelor, Business Administration
Buckeye Community Health Plan June 2014 - Present
Renee's Hairweaving Studio March 2013 - Present
RnR Investment Company,LLC 2008 - Present
Skills
Telecommunications, Customer Service, New Business Development, Account Management, Sales, Call Center, Sales Management, Cosmetologist, Negotiation, Strategic Planning, Training, Social Networking, Budgets, Call Centers, Customer Satisfaction, Entrepreneurship, Management, Marketing, Process Improvement, Real Estate, Small Business, Team Building, Vendor Management, Wireless, Rentals, Property Management, Investment Properties, Sellers, Relocation, Business Development, Insurance, Leases, Investors, Condos, Single Family Homes, Marketing Communications, Microsoft Excel, PowerPoint, Facebook, Social Media, Online Marketing, Coaching, Recruiting
Education
Franklin University 2008 — 2011
Associate, Bachelor, Business Administration
Diane Oye's Buckeye Community Health Plan Experience 2013 - 2014
Job Process Improvement ... Quality & Compliance ... Project Leadership ... Patient Safety
Industry Health, Wellness and Fitness
Experience
Aetna Better Health of Ohio 2014 - July 2015
Buckeye Community Health Plan 2013 - 2014
APS Healthcare 2011 - 2013
The Ohio State University 2009 - 2011
Catholic Health Partners 2007 - 2009
Healthcare Innovative Solutions 2006 - 2006
Ohio KePRO 2003 - 2005
Department of Surgery Corporation 1998 - 2000
Skills
Patient Safety..., Change & Thought..., Technology Deployment &..., Audit Management, Regulatory & Contract..., Root Cause Analysis &..., Quality Strategy, Medicare & Medicaid, Clinical & Nonclinical..., Project Management, Process Improvement, Clinical Research, Six Sigma, Healthcare, Cross-functional Team..., Healthcare Information..., Healthcare Management, Patient Safety, EHR, Hospitals, Nursing
Education
The Ohio State University 2009 — 2011
MPH, Health Services Management & Policy
University of California, Irvine
BA, Quantitative Methods, Applied Statistics
Aetna Better Health of Ohio 2014 - July 2015
Buckeye Community Health Plan 2013 - 2014
APS Healthcare 2011 - 2013
The Ohio State University 2009 - 2011
Catholic Health Partners 2007 - 2009
Healthcare Innovative Solutions 2006 - 2006
Ohio KePRO 2003 - 2005
Department of Surgery Corporation 1998 - 2000
Skills
Patient Safety..., Change & Thought..., Technology Deployment &..., Audit Management, Regulatory & Contract..., Root Cause Analysis &..., Quality Strategy, Medicare & Medicaid, Clinical & Nonclinical..., Project Management, Process Improvement, Clinical Research, Six Sigma, Healthcare, Cross-functional Team..., Healthcare Information..., Healthcare Management, Patient Safety, EHR, Hospitals, Nursing
Education
The Ohio State University 2009 — 2011
MPH, Health Services Management & Policy
University of California, Irvine
BA, Quantitative Methods, Applied Statistics
Jill Becenti's Buckeye Community Health Plan Experience July 2009 - August 2012
Job Owner/Founder at Assistive Medical Supplies
Industry Health, Wellness and Fitness
Experience
Buckeye Community Health Plan July 2009 - August 2012
Aetna, INC. April 2006 - May 2009
US Army March 1993 - October 1995
Skills
HIPAA, Medical/Surgical, Health Policy, Patient Advocacy, Healthcare Information..., NCQA, Claim, Disease Management, Provider Relations, Healthcare Management, Quality Improvement, Medicaid Managed Care, Utilization Management, HEDIS, Behavioral Health, Health Insurance, Medical Compliance, HMO, Legal Nurse Consulting, Nursing Education, ICD-9, Home Care, Medicaid, Healthcare, Health Care..., Inpatient, Health Education, Medicare, Medical Coding, Medical Terminology, Utilization Review, Health Care Systems, Nursing, Case Managment, Patient Safety, Medicare/Medicaid..., Hospitals, Network Development, Managed Care, Palliative Care, Medical Case Management, Patient Outcomes, Healthcare Consulting, Long-term Care, Certified Case Manager, Acute Care, JCAHO, EMR, ICD-10, Healthcare Industry
Education
Kent State University 1987 — 1992
Bachelor of Science in Nursing
Buckeye Community Health Plan July 2009 - August 2012
Aetna, INC. April 2006 - May 2009
US Army March 1993 - October 1995
Skills
HIPAA, Medical/Surgical, Health Policy, Patient Advocacy, Healthcare Information..., NCQA, Claim, Disease Management, Provider Relations, Healthcare Management, Quality Improvement, Medicaid Managed Care, Utilization Management, HEDIS, Behavioral Health, Health Insurance, Medical Compliance, HMO, Legal Nurse Consulting, Nursing Education, ICD-9, Home Care, Medicaid, Healthcare, Health Care..., Inpatient, Health Education, Medicare, Medical Coding, Medical Terminology, Utilization Review, Health Care Systems, Nursing, Case Managment, Patient Safety, Medicare/Medicaid..., Hospitals, Network Development, Managed Care, Palliative Care, Medical Case Management, Patient Outcomes, Healthcare Consulting, Long-term Care, Certified Case Manager, Acute Care, JCAHO, EMR, ICD-10, Healthcare Industry
Education
Kent State University 1987 — 1992
Bachelor of Science in Nursing
Jay Avner's Buckeye Community Health Plan Experience 2012 - Present
Job at Buckeye Community Health Plan
Industry Insurance
Experience
Buckeye Community Health Plan 2012 - Present
Buckeye Community Health Plan 2004 - 2012
Self employed 2001 - 2004
North American Medical Management 1999 - 2001
Chiropractic Choice Network 1998 - 1999
Nightingale Medical Equipment 1997 - 1998
Kentucky Independent Physical Therapy Network 1996 - 1997
Skills
Contract Negotiation, Contract Management, Managed Care, Medicaid Managed Care, Provider Risk...
Education
Carnegie Mellon University - Tepper School of Business
MS, Industrial Administration
University of Cincinnati
BS, Mechanical Engineering
Buckeye Community Health Plan 2012 - Present
Buckeye Community Health Plan 2004 - 2012
Self employed 2001 - 2004
North American Medical Management 1999 - 2001
Chiropractic Choice Network 1998 - 1999
Nightingale Medical Equipment 1997 - 1998
Kentucky Independent Physical Therapy Network 1996 - 1997
Skills
Contract Negotiation, Contract Management, Managed Care, Medicaid Managed Care, Provider Risk...
Education
Carnegie Mellon University - Tepper School of Business
MS, Industrial Administration
University of Cincinnati
BS, Mechanical Engineering
Mariann Brooks's Buckeye Community Health Plan Experience January 2004 - Present
Job Administrative Assistant at Buckeye Community Health Plan
Industry Insurance
Experience
Buckeye Community Health Plan January 2004 - Present
AirNet Systems March 2002 - December 2004
Skills
Outlook, Customer Service, Microsoft Office, PowerPoint
Education
Franklin University 2007 — 2008
Buckeye Community Health Plan January 2004 - Present
AirNet Systems March 2002 - December 2004
Skills
Outlook, Customer Service, Microsoft Office, PowerPoint
Education
Franklin University 2007 — 2008
Chris Beers's Buckeye Community Health Plan Experience June 2006 - Present
Job Manager of Community Relations at Buckeye Community Health Plan
Industry Insurance
Experience
Buckeye Community Health Plan June 2006 - Present
Stark Co Dept of Job & Family Services October 2000 - June 2006
Massillon Independent Newspaper May 1993 - October 2000
Canton Repository August 1984 - May 1993
Skills
Public Relations, Event Planning, Social Media, Public Speaking, Non-profits, Fundraising, Marketing Communications, Media Relations, Customer Service, Event Management, Nonprofits, Community Outreach, Teaching, Training, Press Releases, Volunteer Management, Editing, Community Development, Social Networking, Strategic Communications, Corporate Communications, Grant Writing
Education
Kent State University
Bachelor of Science, Journalism
Ravenna High School
Buckeye Community Health Plan June 2006 - Present
Stark Co Dept of Job & Family Services October 2000 - June 2006
Massillon Independent Newspaper May 1993 - October 2000
Canton Repository August 1984 - May 1993
Skills
Public Relations, Event Planning, Social Media, Public Speaking, Non-profits, Fundraising, Marketing Communications, Media Relations, Customer Service, Event Management, Nonprofits, Community Outreach, Teaching, Training, Press Releases, Volunteer Management, Editing, Community Development, Social Networking, Strategic Communications, Corporate Communications, Grant Writing
Education
Kent State University
Bachelor of Science, Journalism
Ravenna High School
Sally Fischer, BSN, RN, CCM's Buckeye Community Health Plan Experience November 2007 - June 2011
Job Director, Utilization Management at Molina Healthcare of Ohio, Inc.
Industry Computer Software
Experience
Molina Healthcare of Ohio, Inc. November 2012 - Present
Click4Care June 2011 - November 2012
Buckeye Community Health Plan November 2007 - June 2011
CompManagement Health Systems, a Sedgwick CMS company 2000 - November 2007
Skills
Managed Care, Nurses, Case Management, Teaching, Nursing
Education
Capital University 1980 — 1984
Bachelor of Science in Nursing
Capital University 1980 — 1984
Bachelor of Science, Nursing
Molina Healthcare of Ohio, Inc. November 2012 - Present
Click4Care June 2011 - November 2012
Buckeye Community Health Plan November 2007 - June 2011
CompManagement Health Systems, a Sedgwick CMS company 2000 - November 2007
Skills
Managed Care, Nurses, Case Management, Teaching, Nursing
Education
Capital University 1980 — 1984
Bachelor of Science in Nursing
Capital University 1980 — 1984
Bachelor of Science, Nursing
Becky Duro's Buckeye Community Health Plan Experience May 2014 - Present
Job Case Manager at Buckeye Community Health Plan
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan May 2014 - Present
Education
The University of Akron 1985 — 1989
Bachelor of Science, Nursing
Buckeye Community Health Plan May 2014 - Present
Education
The University of Akron 1985 — 1989
Bachelor of Science, Nursing
Ellen LaSalvia's Buckeye Community Health Plan Experience November 2007 - January 2013
Job Director, LTSS/HCBS with Buckeye Health Plan.
Industry Insurance
Experience
Buckeye Health Plan November 2012 - Present
Buckeye Community Health Plan November 2007 - January 2013
Skills
Medicaid, Case Managment, Mental Health, Social Services, Medicaid Managed Care, Program Development, Public Speaking, Community Outreach, Healthcare Management, Medicare, Managed Care, Behavioral Health, Crisis Intervention, HIPAA, Healthcare, Treatment, Health Insurance, Hospitals, Process Improvement, Program Management, Leadership, Management
Education
Mercyhurst College 1998 — 2001
Bachelor's degree, Social Work and Communications
Cleveland State University
MSW, Social Work (Macro)
Point Park University
Master of Arts (M.A.), Mass Communications
Buckeye Health Plan November 2012 - Present
Buckeye Community Health Plan November 2007 - January 2013
Skills
Medicaid, Case Managment, Mental Health, Social Services, Medicaid Managed Care, Program Development, Public Speaking, Community Outreach, Healthcare Management, Medicare, Managed Care, Behavioral Health, Crisis Intervention, HIPAA, Healthcare, Treatment, Health Insurance, Hospitals, Process Improvement, Program Management, Leadership, Management
Education
Mercyhurst College 1998 — 2001
Bachelor's degree, Social Work and Communications
Cleveland State University
MSW, Social Work (Macro)
Point Park University
Master of Arts (M.A.), Mass Communications
Kathy Allbright's Buckeye Community Health Plan Experience December 2006 - March 2009
Job Sr. Project Manager, Construction at Molina Healthcare
Industry Hospital & Health Care
Experience
Molina Healthcare January 2012 - Present
Molina Healthcare April 2009 - January 2012
Buckeye Community Health Plan December 2006 - March 2009
Cardinal Health July 2005 - September 2006
Skills
Process Improvement, Outlook, Customer Service, Microsoft Office, Team Building, Healthcare, Data Entry, Performance Management, Hospitals, Access, Marketing, Public Speaking, Forecasting, Public Relations, Event Planning, PowerPoint, Healthcare Management, Microsoft Word, Microsoft Excel, Leadership, Training
Education
Otterbein College 1991 — 1995
Bachelor of Arts, Equine Management
Molina Healthcare January 2012 - Present
Molina Healthcare April 2009 - January 2012
Buckeye Community Health Plan December 2006 - March 2009
Cardinal Health July 2005 - September 2006
Skills
Process Improvement, Outlook, Customer Service, Microsoft Office, Team Building, Healthcare, Data Entry, Performance Management, Hospitals, Access, Marketing, Public Speaking, Forecasting, Public Relations, Event Planning, PowerPoint, Healthcare Management, Microsoft Word, Microsoft Excel, Leadership, Training
Education
Otterbein College 1991 — 1995
Bachelor of Arts, Equine Management
Matthew Dregallo's Buckeye Community Health Plan Experience October 2008 - October 2012
Job Resource Development Manager at Modis
Industry Staffing and Recruiting
Experience
Modis September 2015 - Present
Nationwide Financial July 2014 - September 2015
Robert Half Technology October 2012 - June 2014
Buckeye Community Health Plan October 2008 - October 2012
BlueWater Enterprises January 2011 - April 2012
Skills
Healthcare, Sales, Credentialing, Recruiting, Sourcing, Information Technology, Technical Recruiting, Applicant Tracking..., Temporary Staffing, Storytelling, Cold Calling, Strategic Sourcing, Interviews, Healthcare Information..., Networking, Project Management, Management, Office Administration
Education
Ohio University 2002 — 2006
Bachelor's degree, Health Services Administration
Modis September 2015 - Present
Nationwide Financial July 2014 - September 2015
Robert Half Technology October 2012 - June 2014
Buckeye Community Health Plan October 2008 - October 2012
BlueWater Enterprises January 2011 - April 2012
Skills
Healthcare, Sales, Credentialing, Recruiting, Sourcing, Information Technology, Technical Recruiting, Applicant Tracking..., Temporary Staffing, Storytelling, Cold Calling, Strategic Sourcing, Interviews, Healthcare Information..., Networking, Project Management, Management, Office Administration
Education
Ohio University 2002 — 2006
Bachelor's degree, Health Services Administration
Dennis C. McCluskey MD's Buckeye Community Health Plan Experience June 2010 - Present
Job
Industry Insurance
Experience
City Of Akron July 2011 - Present
Buckeye Community Health plan June 2010 - Present
FirstEnergy Corp. November 2008 - Present
Radiant Research 1985 - 2010
University of Alabama at Birmingham June 1973 - May 1976
Skills
Strategic Planning, Managed Care, Clinical Research, Hospitals, Research, Healthcare Management, Budget, Sales, Data Analysis, Disease Management, Medicare, Medicine, Physicians, Nursing, Treatment, Public Health, Prevention
Education
Spring Hill College 1969 — 1973
BS, Biology
City Of Akron July 2011 - Present
Buckeye Community Health plan June 2010 - Present
FirstEnergy Corp. November 2008 - Present
Radiant Research 1985 - 2010
University of Alabama at Birmingham June 1973 - May 1976
Skills
Strategic Planning, Managed Care, Clinical Research, Hospitals, Research, Healthcare Management, Budget, Sales, Data Analysis, Disease Management, Medicare, Medicine, Physicians, Nursing, Treatment, Public Health, Prevention
Education
Spring Hill College 1969 — 1973
BS, Biology
Sharon Kasturiarachi's Buckeye Community Health Plan Experience November 2014 - Present
Job Program Coordinator at Buckeye Health Plan
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan November 2014 - Present
The Schroer G May 2011 - November 2014
Ohio Prosthetics & Orthotics, Ltd. October 2006 - April 2011
Joan Fabrics June 1998 - November 2010
Skills
Medicare, Medicaid, Invoicing, Sales, Healthcare, Customer Service, Team Building, Strategic Planning, Managed Care, Microsoft Office, Event Planning, Leadership, Research, Public Speaking, Marketing
Education
Kent State University 2003 — 2006
B.Sc, Healthcare Aministration minor in Business and Management
University of North Carolina at Chapel Hill 1990 — 1993
Continuing Education
University of Peradeniya 1984 — 1988
Physics, Chemistry, Mathematics
Buckeye Community Health Plan November 2014 - Present
The Schroer G May 2011 - November 2014
Ohio Prosthetics & Orthotics, Ltd. October 2006 - April 2011
Joan Fabrics June 1998 - November 2010
Skills
Medicare, Medicaid, Invoicing, Sales, Healthcare, Customer Service, Team Building, Strategic Planning, Managed Care, Microsoft Office, Event Planning, Leadership, Research, Public Speaking, Marketing
Education
Kent State University 2003 — 2006
B.Sc, Healthcare Aministration minor in Business and Management
University of North Carolina at Chapel Hill 1990 — 1993
Continuing Education
University of Peradeniya 1984 — 1988
Physics, Chemistry, Mathematics
Grady Snyder's Buckeye Community Health Plan Experience March 2007 - July 2008
Job Financial Counselor Senior
Industry Hospital & Health Care
Experience
The Ohio State University Medical Center December 2012 - Present
Ohio State University Medical Center July 2008 - December 2012
Buckeye Community Health Plan March 2007 - July 2008
American Health Holding, Inc August 2003 - March 2007
UnitedHealth Group July 2002 - June 2003
Skills
Revenue Cycle, Inpatient, Insurance, Healthcare Management, Medicare, Medicaid, Managed Care, HIPAA, Healthcare, Epic Systems, Healthcare Information..., Hospitals, EMR, Process Improvement, Leadership, Management, Medical Terminology, Strategic Planning
Education
Ohio University 1994 — 1997
Bachelor of Science, Health Services Administration
Internships with The Cleveland Clinic Foundation and Riverside Methodist Hospital
The Ohio State University Medical Center December 2012 - Present
Ohio State University Medical Center July 2008 - December 2012
Buckeye Community Health Plan March 2007 - July 2008
American Health Holding, Inc August 2003 - March 2007
UnitedHealth Group July 2002 - June 2003
Skills
Revenue Cycle, Inpatient, Insurance, Healthcare Management, Medicare, Medicaid, Managed Care, HIPAA, Healthcare, Epic Systems, Healthcare Information..., Hospitals, EMR, Process Improvement, Leadership, Management, Medical Terminology, Strategic Planning
Education
Ohio University 1994 — 1997
Bachelor of Science, Health Services Administration
Internships with The Cleveland Clinic Foundation and Riverside Methodist Hospital
Julie Corns's Buckeye Community Health Plan Experience 2005 - Present
Job Data Integrity Specialist
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan 2005 - Present
Goshen Lane Elementary January 2011 - May 2011
Children's Hospital May 2001 - May 2005
Skills
Grant Writing, Data Entry, Hospitals, Grants, Teaching, Analysis, Customer Service, Medicaid, Managed Care, Child Development, Healthcare, Medical Terminology, Case Management, HIPAA, Healthcare Management
Education
Notre Dame College 2008 — 2011
Teaching License, PK - grade 5
Ohio University 1999 — 2001
Bachelor's, Health Services Administration, Cum Laude
Buckeye Community Health Plan 2005 - Present
Goshen Lane Elementary January 2011 - May 2011
Children's Hospital May 2001 - May 2005
Skills
Grant Writing, Data Entry, Hospitals, Grants, Teaching, Analysis, Customer Service, Medicaid, Managed Care, Child Development, Healthcare, Medical Terminology, Case Management, HIPAA, Healthcare Management
Education
Notre Dame College 2008 — 2011
Teaching License, PK - grade 5
Ohio University 1999 — 2001
Bachelor's, Health Services Administration, Cum Laude
Tim Temelkoff's Buckeye Community Health Plan Experience July 2013 - Present
Job Clinical Pharmacist at Buckeye Health Plan
Industry Pharmaceuticals
Experience
Buckeye Community Health Plan July 2013 - Present
Heritage Square Pharmacy May 2013 - June 2013
The Ohio State University Medical Center June 2012 - April 2013
Express Scripts (formerly Medco Health Solutions) March 2008 - May 2012
Medco Health Solutions March 2000 - March 2008
NCS Health Care Inc. November 1992 - August 1999
Skills
Supervision, Pharmacy, Hospitals, Project Management, Prior Authorization, Medicare Part D, Pharmacy Benefit..., Healthcare Management, Pharmacists, Healthcare, Medicare, HIPAA, Healthcare Information..., Clinical Pharmacy, Clinical Pharmacology
Education
The Ohio State University 1982 — 1988
B.S., Pharmacy
Buckeye Community Health Plan July 2013 - Present
Heritage Square Pharmacy May 2013 - June 2013
The Ohio State University Medical Center June 2012 - April 2013
Express Scripts (formerly Medco Health Solutions) March 2008 - May 2012
Medco Health Solutions March 2000 - March 2008
NCS Health Care Inc. November 1992 - August 1999
Skills
Supervision, Pharmacy, Hospitals, Project Management, Prior Authorization, Medicare Part D, Pharmacy Benefit..., Healthcare Management, Pharmacists, Healthcare, Medicare, HIPAA, Healthcare Information..., Clinical Pharmacy, Clinical Pharmacology
Education
The Ohio State University 1982 — 1988
B.S., Pharmacy
Bridget Webb's Buckeye Community Health Plan Experience September 2011 - Present
Job Pharmacy Coordinator at Buckeye Community Health Plan
Industry Insurance
Experience
Buckeye Community Health Plan September 2011 - Present
National Audit May 2010 - May 2012
Walgreens April 1992 - December 2008
Skills
Pharmacy, Medicare Part D, Pharmacy Automation, Medicaid, HIPAA, Health Insurance, Data Entry, Medical Terminology, Compounding, Cpr Certified, Medical Records, Utilization Management, Managed Care, Microsoft Office, Healthcare, Customer Service, Pharmacy Benefit..., Microsoft Word, Public Speaking, Medicare
Education
Bowling Green State University
Buckeye Community Health Plan September 2011 - Present
National Audit May 2010 - May 2012
Walgreens April 1992 - December 2008
Skills
Pharmacy, Medicare Part D, Pharmacy Automation, Medicaid, HIPAA, Health Insurance, Data Entry, Medical Terminology, Compounding, Cpr Certified, Medical Records, Utilization Management, Managed Care, Microsoft Office, Healthcare, Customer Service, Pharmacy Benefit..., Microsoft Word, Public Speaking, Medicare
Education
Bowling Green State University
Wendy Temple's Buckeye Community Health Plan Experience April 2014 - Present
Job Wendy Temple at Caring Feet LLC Owner
Industry Hospital & Health Care
Experience
Buckeye community health plan April 2014 - Present
Caring Feet LLC Owner June 2013 - Present
Skills
Home Care, Acute Care, BLS
Education
Lourdes University 2009 — 2011
BA- IS, Allied Health
Northwest State Community College
lpn
Buckeye community health plan April 2014 - Present
Caring Feet LLC Owner June 2013 - Present
Skills
Home Care, Acute Care, BLS
Education
Lourdes University 2009 — 2011
BA- IS, Allied Health
Northwest State Community College
lpn
Lori Linville's Buckeye Community Health Plan Experience June 2010 - Present
Job Program Coordinator at Buckeye Community Health Plan
Industry Hospital & Health Care
Experience
Buckeye Community Health Plan June 2010 - Present
Living Arrangements for the Developmentally Disabled April 2009 - June 2010
United Cerebral Palsy of Greater August 2006 - March 2009
Education
Union College
Bachelor of Science, Psychology and Sociology 2003
University of Kentucky
Masters, Rehabilitation Counseling 2006
Buckeye Community Health Plan June 2010 - Present
Living Arrangements for the Developmentally Disabled April 2009 - June 2010
United Cerebral Palsy of Greater August 2006 - March 2009
Education
Union College
Bachelor of Science, Psychology and Sociology 2003
University of Kentucky
Masters, Rehabilitation Counseling 2006
Elbony McIntyre, MPA's Buckeye Community Health Plan Experience January 2008 - November 2011
Job Chief, Managed Care Contract Administration Section at Ohio Department of Medicaid
Industry Government Administration
Experience
Ohio Department of Medicaid July 2015 - Present
Ohio Department of Medicaid April 2014 - July 2015
Ohio Department of Medicaid April 2012 - April 2014
Ohio Department of Job and Family Services November 2011 - April 2012
Buckeye Community Health Plan January 2008 - November 2011
Education
Keller Graduate School of Management of DeVry University 2006 — 2009
Master of Public Administration (MPA), Healthcare and Government Management
Capital University 1999 — 2003
Bachelor's degree, English Literature
Ohio Department of Medicaid July 2015 - Present
Ohio Department of Medicaid April 2014 - July 2015
Ohio Department of Medicaid April 2012 - April 2014
Ohio Department of Job and Family Services November 2011 - April 2012
Buckeye Community Health Plan January 2008 - November 2011
Education
Keller Graduate School of Management of DeVry University 2006 — 2009
Master of Public Administration (MPA), Healthcare and Government Management
Capital University 1999 — 2003
Bachelor's degree, English Literature
Jennifer Denhardt's Buckeye Community Health Plan Experience February 2010 - June 2013
Job RN CCM at Buckeye Community Health Plan
Industry Health, Wellness and Fitness
Experience
Humana June 2013 - Present
Buckeye Community Health Plan February 2010 - June 2013
Amerigroup July 2009 - February 2010
Centerville LTC Pharmacy October 2000 - July 2009
Skills
Utilization Management, Managed Care, Healthcare, Disease Management, Nursing, Certified Case Manager, Home Care, Case Managment, Medicaid, Healthcare Management, Medicare, Hospitals, Mental Health, Case Management
Education
Sinclair Community College
Associate's degree, Registered Nursing/Registered Nurse
Wright State University
Bachelor of Science (B.S.), Organizational Leadership
Humana June 2013 - Present
Buckeye Community Health Plan February 2010 - June 2013
Amerigroup July 2009 - February 2010
Centerville LTC Pharmacy October 2000 - July 2009
Skills
Utilization Management, Managed Care, Healthcare, Disease Management, Nursing, Certified Case Manager, Home Care, Case Managment, Medicaid, Healthcare Management, Medicare, Hospitals, Mental Health, Case Management
Education
Sinclair Community College
Associate's degree, Registered Nursing/Registered Nurse
Wright State University
Bachelor of Science (B.S.), Organizational Leadership
Elizabeth Presley's Buckeye Community Health Plan Experience January 2005 - July 2007
Job Registered Nurse, Clinical Developer at HealthEdge
Industry Information Technology and Services
Experience
HealthEdge April 2013 - Present
Humana December 2011 - April 2013
Humana December 2011 - April 2013
Alere, Inc. 2007 - November 2011
Buckeye Community Health Plan January 2005 - July 2007
Ohio Health July 2001 - January 2005
Skills
Case Managment, Nursing, Utilization Management, Medicare, Healthcare Management, Disease Management, Managed Care, Clinical Research, Inpatient, Hospitals
Education
University of Arkansas at Little Rock 1994 — 1996
ADN, Registered Nursing/Registered Nurse
HealthEdge April 2013 - Present
Humana December 2011 - April 2013
Humana December 2011 - April 2013
Alere, Inc. 2007 - November 2011
Buckeye Community Health Plan January 2005 - July 2007
Ohio Health July 2001 - January 2005
Skills
Case Managment, Nursing, Utilization Management, Medicare, Healthcare Management, Disease Management, Managed Care, Clinical Research, Inpatient, Hospitals
Education
University of Arkansas at Little Rock 1994 — 1996
ADN, Registered Nursing/Registered Nurse
Kathryn Zielaski's Buckeye Community Health Plan Experience August 2008 - May 2013
Job MyCare Transitions Coordinator at CareSource Management Group
Industry Insurance
Experience
CareSource Management Group June 2013 - Present
Buckeye Community Health Plan August 2008 - May 2013
Anthem June 1998 - June 2008
Jennings Hall January 1996 - June 1998
Peer Review Systems February 1988 - June 1995
Marymount Hospital December 1984 - February 1988
Saint Vincent Charity Hospital May 1978 - December 1984
Skills
Customer Service, Risk Management, Medicaid, Insurance, Utilization Management, Case Managment, Microsoft Office, Managed Care, Health Insurance, HIPAA, Healthcare, Property & Casualty..., Microsoft Excel, Behavioral Health, Quality Improvement, Home Care, Medical/Surgical, Clinical Research, HEDIS, Provider Relations, Healthcare Management, Medicare, Nursing, Health Policy, Inpatient, Case Management, Hospitals
Education
Cleveland State University 1979 — 1984
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Saint Vincent Charity Hospital School of Nursing 1975 — 1978
Registered Nurse, Registered Nursing/Registered Nurse
CareSource Management Group June 2013 - Present
Buckeye Community Health Plan August 2008 - May 2013
Anthem June 1998 - June 2008
Jennings Hall January 1996 - June 1998
Peer Review Systems February 1988 - June 1995
Marymount Hospital December 1984 - February 1988
Saint Vincent Charity Hospital May 1978 - December 1984
Skills
Customer Service, Risk Management, Medicaid, Insurance, Utilization Management, Case Managment, Microsoft Office, Managed Care, Health Insurance, HIPAA, Healthcare, Property & Casualty..., Microsoft Excel, Behavioral Health, Quality Improvement, Home Care, Medical/Surgical, Clinical Research, HEDIS, Provider Relations, Healthcare Management, Medicare, Nursing, Health Policy, Inpatient, Case Management, Hospitals
Education
Cleveland State University 1979 — 1984
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Saint Vincent Charity Hospital School of Nursing 1975 — 1978
Registered Nurse, Registered Nursing/Registered Nurse